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HOWARD K. GRAY, M.D.; WENDELL S. SHARPE, M.D.

Arch Surg. 1941;43(5):850-857.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The immediate mortality rate after surgical intervention in the treatment of well developed gastrocolic fistula is disturbingly high, and yet the prognosis for the disease if treated by medical means alone is exceedingly poor. Nearly all patients treated medically die of progressive inanition, avitaminosis or intercurrent infection. Verbrugge¹ reported a series of 20 cases in which 5 patients died after operation; the mortality rate was thus 25 per cent. Loewy² collected reports of 63 cases; the operative mortality rate in this group was 27 per cent. Allen³ reported 8 cases with 2 deaths; Lahey and Swinton⁴ reported an immediate mortality rate of 63 per cent in 8 cases and Rife⁵ a mortality rate of 20 per cent in 14 cases. A high mortality rate seems to accompany any type of operation performed in one stage, regardless of the technic employed or the quality of the . . . [Full Text PDF of this Article]

Author Affiliations
Fellow in Surgery, Mayo Foundation ROCHESTER, MINN.

From the Division of Surgery, Mayo Clinic.

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